Hollidaysburg Area Ymca Early Learning Center

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #1 lacked an emergency contact form with the complete work address of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file of staff #1 had health assessments more than 24 months apart due to the fact they were dated: 8-31-25 and 3-16-23.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of staff #2 completed Mandated Reporter training more than 60 months apart due to the fact they were dated: 8-28-25 and 5-2-20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had Child Abuse clearances more than 60 months apart due to the fact they were dated: 8-27-25 and 8-24-20. The file of staff #2 had PA State Police clearances more than 60 months apart due to the fact they were dated: 1-15-26 and 10-9-20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed sanitizing wipes labeled keep out of the reach of children on the bottom shelf of an unlocked cabinet located in the hall outside room 305.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: Observed homeopathic topical medication in a jar for child #1. The homeopathic medication was reported to be used when the child breaks out in hives and/or to prevent such event. The medication was not in its original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: The file of staff #4 completed mandated reporter training more than 60 months apart due to the fact they were dated 8-28-25 and 5-2-20.

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 lacked an acceptable PSP clearance due to the fact the one in the file was for volunteer rather than employment. The file of staff #2 had PSP clearances more than 60 months apart due to the fact they were dated 8-3-23 and 7-30-18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: The file of staff #3, an Assistant Group Supervisor, lacked proof of education to support the position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in room 310 a clear plastic bin with cracked edges. Observed in the outdoor play space the middle space fencing that is adjacent to the third space had splintering wood and exposed screws at the interior gate and to the left of the gate. Observed in the middle play space a bench storage bin crack on the ends of the front panel.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Based on interviews, Staff #1, #2, and #3 took 12 children including 10 older toddlers and 2 preschoolers outside at 10:30 AM. At approximately 11:00 AM Staff #1 began the process of bringing 4 to 5 children at a time inside for diapering. At approximately 11:20 AM a toddler was dropped off by the parents while Staff #2 and #3 were on the play space with the children. At approximately 11:30 AM Staff #1 brought the last 4 children inside for diapering. At approximately 11:45 AM Staff #2 and #3 brought 8 children inside. At approximately 11:53 AM Child #1 was observed by Staff #4, Staff #5, and Staff #6 to be alone in the Toddler Play Space. Staff #4 and #6 reported that the gate leading to the parking lot and side entrance to the facility was open.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. 1) Children must be supervised at all times. 2) The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 3) The legal entity will conduct mandatory staff meetings at least once per month for a period of 4 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance relating to supervision and ratio. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #4 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #4 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The files of staff #1, #2, and #4 had documentation of health assessments more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of reviewing the Emergency Plan, there was not documentation the plan was sent to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1and #3 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff persons #1 and #3 only completed the online portion of Pediatric first aid/CPR. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. Staff person #5 has documentation of completing Health and Safety Training on 8/27/16.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff persons #1, #3, and #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1#3, and #5, staff persons #1, #3, and #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/30/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child are position at the facility.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of staff #3 had documentation of completing Mandated Reporter training more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Based on interviews, Staff #1, #2, and #3 took 12 children including 10 older toddlers and 2 preschoolers outside at 10:30 AM. At approximately 11:00 AM Staff #1 began the process of bringing 4 to 5 children at a time inside for diapering. At approximately 11:20 AM a toddler was dropped off by the parents while Staff #2 and #3 were on the play space with the children. At approximately 11:30 AM Staff #1 brought the last 4 children inside for diapering. At approximately 11:45 AM Staff #2 and #3 brought 8 children inside. At approximately 11:53 AM Child #1 was observed by Staff #4, Staff #5, and Staff #6 to be alone in the Toddler Play Space. Staff #4 and #6 reported that the gate leading to the parking lot and side entrance to the facility was open.

Correction Required: 1) When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 2) The facility director will conduct random assessments in each classroom and the facility's outdoor play area as applicable. The director will ask each staff member to point out each child in their assigned group and identify them by name. The director will record all assessments in a log that shall include the date, time, child care space, the staff person's name and qualification, as well as the number of children and their ages. The log shall also identify whether the staff could name the children in the group and will include a place for notes. The director shall submit the proposed log to the Department for approval prior to implementation. The monitoring shall be done for a period of 3 months, and the log shall be made available to the Department's representative upon request.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: Based on the fire drill log, the hypothetical location was the same on 12-17-24 and 1-16-25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of the inspection, there was not a daily schedule posted in rooms 310, 314, and in the gross motor space.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full work address of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 had not completed the required 1-hour update Health and Safety Training by 12-30-22 due to the fact documentation of completion was dated 2-1-23 (see LIS code sheet). Staff person #6 had not completed the required 1-hour update Health and Safety Training by 12-30-22 due to the fact documentation of completion was dated 3-7-24 (see LIS code sheet).

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of staff #1 had documentation of a late health assessment due to the fact they were dated 2-2-23 and 10-14-20.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: The file of staff #3 completed Mandated Reporter training more than 60 months apart due to the fact they were dated 3-23-22 and 2-22-17.

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #2 had Child Abuse clearances more than 60 months apart due to the fact they were dated 1-16-24 and 1-15-19. The file of staff #4 had FBI clearances more than 60 months apart due to the fact they were dated 10-4-19 and 9-29-14. The file of staff #5 had PA State Police and Child Abuse clearances more than 60 months apart due to the fact they were dated PSP 8-19-20 and 7-28-15; CA 8-24-20 and 8-3-15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff person #1 was assigned supervision of child #1. Child #1 was left behind, unattended in the outdoor fenced play area. The assigned staff member was unaware that the child was not with their group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for Staff persons #1 and #2 were observed to lack documentation of completing the Pennsylvania Health and Safety Training that was updated 2022 by December 30, 2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.51/3270.113(a)

Description: Similar Age Level/Supervised at all times

Noncompliance Area: Child #1, an older toddler, was left behind and unattended in the outdoor play area for approximately 5 minutes before being found and returned to the facility by a teacher in the community. The assigned staff member was unaware that the child was not with their group.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in room 311, a square Magna-tile that was cracked.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in room 310, 2 red foam blocks with teeth marks.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed in room 311, a round, wooden table in kitchen play area with 2 loose legs.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Observed in the kitchen an Amana brand refrigerator used for drinks served to the children in care, lacking a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #2 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 lacked an initial health assessment within 60 days of start.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of Staff #5 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022.

Correction Required: Staff person #5 will have until April 21, 2023, to complete the Pennsylvania Health and Safety Update 2022. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The files of staff #4 and #5 had initial health assessments that were more than 12 months prior to their start dates.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their hire date: 10 hour Health and Safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 4/21/2023(actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person #3 had not completed the following required pre-service training within 90 days of their dates of hire (see LIS code sheet): 10 hour Health and Safety. This is evidenced by the 10 hour health and safety training not being completed until 3/3/2023.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The files of #2, #4, and #5, all Assistant Group Supervisors lacked documentation to support their position due to the fact there was not proof of 2500 hours of child care experience. The file of staff #1, an AGS lacked documentation of education.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed in room 311, used tissues in a garbage can lacking a lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign posted in the restroom used by children in room 305.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 3/28/22 observed a cracked yellow bin containing white boards and a cracked square orange Magna Tile in the Older Preschool Classroom. On 3/28/22 observed a broken knob on the gear base in the Pre K Classroom. On 3/28/22 observed a cracked pie-shaped Magna Tile in the Pre K Counts Classroom.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 3/28/22 observed 12 geometric foam blocks with bite marks, 2 larger foam blocks with bite marks, and 5 hollow foam blocks with bite marks in the Older Preschool Classroom.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 3/28/22 observed rest equipment in the Older Preschool Classroom and Young Preschool Classroom which were not labeled for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in the Young Preschool Classroom.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: At approximately 12:30 PM Certification Staff observed Staff #3 place an infant on his/her side to sleep.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information for Child #4 was not present in the Young Preschool Classroom while Child #4 was receiving care in the space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Child #3, with an admission date of 9/1/21, lacked an initial health report no later than 90 days following the first day of attendance at the facility. The file of Child #3 contained a health report dated 1/20/22 and a previous health report dated 6/2/20.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child #1, a 15 month old, lacked Pneumococcal immunizations, an influenza immunization, MMR immunization, Varicella immunization, and Hepatitis A immunization in accordance with the schedule recommended by the ACIP. The file of Child #1 contained documentation of 3 Pneumococcal immunizations, no MMR immunization, no Varicella immunization, and no Hepatitis A immunization. Child #2, a 4 year old, lacked an influenza immunization and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #2 contained documentation of no Hepatitis A immunizations.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file of Staff #9 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS CODE SHEET). The file of Staff #9 contained a health assessment dated 2/24/22.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files of Staff #7 and #8 lacked an adult health assessment which includes tuberculosis screening by the Mantoux method at initial employment. (SEE LIS CODE SHEET) Staff #7 had a health assessment dated 6/3/21 but a Mantoux test read date of 6/9/21. Staff #8 had a health assessment dated 3/4/22 but a Mantoux test read date of 3/7/22.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file of Staff #7 lacked documentation of child care experience prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 3/28/22 observed 2 pair of adult scissors in the top drawer of the teacher's desk which were accessible to children in the Older Preschool Classroom.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted annually. The facility provided documentation of an emergency drill being conducted on 3/9/22.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file of Staff #6 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The files of Staff #2, #4, and #5 lacked documentation of renewing certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The files of Staff #2, #4, and #5 contained documentation of first aid and CPR training completed on 1/27/21 with a previous training completed on 1/26/19.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files of Staff #1, #3, and #7 lacked documentation of completing pre-service training within 90 days of hire (See LIS CODE SHEET). The file of Staff #1 contained documentation of completing pre-service training on 1/31/22. The file of Staff #3 contained documentation of completing pre-service training on 1/23/22. The file of Staff #7 contained documentation of completing pre-service training on 12/24/21.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The files of Staff #3 and #7 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). The file of Staff #3 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 11/30/21. The file of Staff #7 lacked documentation of a valid pediatric first aid and pediatric cardiopulmonary resuscitation course.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of Staff #3 lacked documentation of completing Mandated Reporter Training within 90 days of hire (See LIS CODE SHEET). Staff #3 had documentation of completing Mandated Reporter Training on 2/20/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked the National Sex Offender Registry within 45 days of hire (SEE LIS CODE SHEET). Staff #1 had a NSOR dated 2/2/22. The file of Staff #9 lacked a valid disclosure statement. The disclosure statement on file for Staff #9 was not the one updated in 2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file of Staff #4 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #4 contained a written evaluation dated 12/13/21 with the previous one dated 11/1/20.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file of Staff #7, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone in the Young Preschool Classroom.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On 3/28/22 observed a first-aid kit on the shelf by the air conditioner and teacher's desk in the Older Preschool Classroom which was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the Young Preschool Classroom lacked scissors and soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 3/28/222 observed rotted wood at the frame of the gate located in the Older Toddler Outdoor Play Space. On 3/28/22 observed a divider in the Infant Classroom which was not secured creating a potential tipping hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 3/28/22 observed peeling on paint on the white board by the gate in the Older Toddler Outdoor Play Space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on interviews, Staff #1 grabbed Child #1's arms before pinning Child #1's head between his/her legs to keep Child #1 still to wipe Child #1's nose.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on interviews, Staff #1 grabbed Child #1's arms before pinning Child #1's head between his/her legs to keep Child #1 still to wipe Child #1's nose.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: The file of Child #1 lacked the date of the child's admission on the agreement.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: The file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: Emergency contact information for Child #5 was not present when Child #5 was in the Young School-Age Classroom. Emergency contact information for Child #6 was not present when Child #6 was in the Older Preschool Classroom. Emergency contact information for Child #7 was not present when Child #7 was in the Older School-Age Classroom. Emergency contact information for Child #8 was not present when Child #8 was in the Toddler Classroom.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The file of Staff #4 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 1/23/20 with a previous one dated 9/14/17.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The file of Child #2 lacked a reviewed and updated financial agreement which should have been reviewed at least once in a 6-month period. The file of Child #2 contained a financial agreement reviewed on 5/24/19. 12/3/19, and 1/7/20.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file of Child #3 lacked any agreement between the parent and the operator.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The file of Staff #1 lacked a Child Abuse Clearance and FBI Clearance updated every 60 months. The file of Staff #1 contained a Child Abuse Clearance dated 11/20/19 with a previous one dated 11/8/14. The file of Staff #1 contained a FBI Clearance dated 11/15/19 with a previous one dated 11/5/14. The file of Staff #2 lacked documentation of application for the National Sex Offender Registry Certificate prior to or on the date of initial hire. Staff #2 had a start date of 10/28/19 with proof of a NSOR application emailed on 11/18/19. The file of Staff #3 lacked a FBI Clearance updated every 60 months. The file of Staff #3 contained a FBI Clearance dated 1/4/19 with a previous one dated 1/3/14.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Observed A & D Ointment which indicated "keep out of the reach of children" and a plastic spray bottled labeled "disinfectant" on the 2nd shelf from the bottom in the white cabinet in the diaper changing area which were accessible to children in the Toddler Classroom.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: Observed a first-aid kit on the top shelf of a bookcase by the filing cabinet and a first-aid kit in a wagon which were accessible to children in the Young School-Age Classroom. Observed a first-aid kit in a wagon by the kitchen door which was accessible to children in the Older School-Age Classroom.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: Observed loose baseboard in the reading area of the Older Toddler Classroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Observed approximately a 1 by 2 inch piece of missing plaster above the baseboard in the reading area of the Older Toddler Classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The toilet in the bathroom in the Older Toddler Classroom lacked a hand washing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: Observed 2 shopping carts and a child's sweeper in front of the exit leading to the outside in the Older Toddler Classroom.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: The parent was denied access to the child's complete child care record.

Correction Required: The parent shall have access to the child's complete child care record.

Noncompliance Area: Observed torn rest equipment in the Older Toddler Classroom. Observed a torn changing mat with exposed foam under the changing table in the Girl's Bathroom in the hall. Observed a scooter with torn rubber handles in the Gym closet. Observed a torn changing mat in the Boy's Bathroom in the hall.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Observed children sleeping on rest equipment in both the Older Preschool and Young Preschool Classrooms which lacked 2 feet of space on three sides. Observed approximately 1 foot of space between several children in both classrooms.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The file of Child #9 lacked a Child Service Report updated every 6 months. Child #9 had a Child Service Report dated 10/1/17 with the next one dated 8/22/18.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file of Child #2 lacked the work telephone number of the enrolling parent on the emergency contact form. The file of Child #4 lacked the complete work address of the enrolling parent on the emergency contact form

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The file of Child #1 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form. Child #1 had an admission date of 8/23/18 with an emergency contact form signed on 8/29/18.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The file of Child #2 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The file of Child #3 lacked a reviewed and updated emergency contact form and financial agreement which should have been reviewed at least once in a 6-month period. Child #3 had an emergency contact form and financial agreement reviewed on 12/31/17, 7/10/18, and 12/19/18.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The files of Children #3, #8, #9, and #10 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Observed Aveeno for Child #11 in the Pre K Counts classroom but the parent did not provide written consent for administration of the medication.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The file of Child #1 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #1 had an admission date of 8/23/18 with an emergency contact form signed on 8/29/18.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The facility lacked a posting of the complete emergency plan at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: The file of Staff #1 lacked a valid FBI Clearance so she was removed from care. The file of Staff #1 lacked documentation of the mandated reporter training completed within 90 days of start. Staff #1 had a start date of 11/2/18 with mandated reporter training completed on 2/17/19. The file of Staff #2, a volunteer, lacked State Police and Child Abuse Clearances updated every 60 months so she was removed from care. The file of Staff #2, a volunteer, contained a State Police Clearance dated 3/8/11 and a Child Abuse Clearance dated 4/6/11.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Observed an electrical outlet which lacked a protective receptacle cover beside the air conditioner in the Young Preschool Classroom.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Observed loose and chipping glazing around the windows in the Preschool Outdoor Play Space. Observed missing and chipping floor tile at the emergency exit in the Older Toddler Classroom. Observed the bolts of the stall divider pulling from the wall in the Boy's Bathroom located in the hall.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.